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DermAtlas: ARM - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_4_081101   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
BITE, INSECT /
INSECT BITE REACTION
  Category: reactive erythema /
environmental injury
Body Site: arm / forearm   Age: 53 years
Contributor: Bernard Cohen, MD    
Description: linear group of edematous red uniform 4-5 mm papules some with central crust
Comments: This 53-year-old man developed an intensely pruritic cluster of red papules on his right forearm. The lesions persisted for several weeks. Although the source was never identified, he had his house exterminated because of concerns about bed bugs.
Related Images: papular_urticaria_3_081101 

DermAtlas: ARM - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_3_081101   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
BITE, INSECT /
INSECT BITE REACTION
  Category: reactive erythema /
environmental injury
Body Site: arm / forearm   Age: 53 years
Contributor: Bernard Cohen, MD    
Description: linear group of edematous red uniform 4-5 mm papules some with central crust
Comments: This 53-year-old man developed an intensely pruritic cluster of red papules on his right forearm. The lesions persisted for several weeks. Although the source was never identified, he had his house exterminated because of concerns about bed bugs.
Related Images: papular_urticaria_4_081101 

DermAtlas: LEG - bite, insect
© 2001-2009, DermAtlas
Image Name: Dermatitic_Blister_1_080819   File Type: jpg
Diagnosis: BITE, INSECT   Category: bites and stings /
environmental injury
Body Site: leg / foot   Age: 8 years
Contributor: Will Sorey, MD    
Description: tense 1-3 cm bullae and ruptured bullae with crusts
Comments: This 8-year-old boy, who enjoyed playing in a wooded area near his home, developed blisters following insect bites. This case was prepeared by University of Mississippi year 3 medical student Lyndsay Roberts.

DermAtlas: FACE - papular urticaria
© 2001-2009, DermAtlas
Image Name: papular_urticaria_6_070507   File Type: jpg
Diagnosis: PAPULAR URTICARIA /
BITE, INSECT
  Category: environmental injury
Body Site: face / cheek   Age: 1 years
Contributor: Shahbaz A. Janjua, MD    
Description: multiple clustered uniform excoriated 2-4 mm edematous red papules many with central besicles and crusts
Comments: This one-year-old child developed an itchy red papular eruption on the face and extremities following mosquito bites. Note the linear clusters of edematous red papules many with central crusts typical of insect bite hypersensitivity reactions in highly sensitized individuals.
Related Images: All related Images  papular_urticaria_5_070507  papular_urticaria_4_070507  papular_urticaria_3_070507  papular_urticaria_2_070507  papular_urticaria_1_070507 

DermAtlas: TRUNK - bite, insect
© 2001-2009, DermAtlas
Image Name: body_louse_1_070121   File Type: jpg
Diagnosis: BITE, INSECT /
PEDICULOSIS CORPORIS
  Category: infections and infestations
Body Site: trunk   Age: 45 years
Contributor: Arshad Khan, MD    
Description: body louse
Comments: A 45-year-old man complained of generalized pruritus and a creeping sensation on his trunk for 1 month. Physical examination revealed mltiple excoriated papules on his trunk, and a viable louse (pediculosis corporis). He as treated with antihistamines and topical permethrin lotion. His clothing was also disinfected

DermAtlas: FINGER - bite, insect
© 2001-2009, DermAtlas
Image Name: Fire_Ant_1_061010   File Type: jpg
Diagnosis: BITE, INSECT /
BITE, FIRE ANT
  Category: bites and stings
Body Site: finger   Age: 40 years
Contributor: Franz Ritucci, MD    
Description: 1 cm red papule with central pustule
Comments: This 40-year-old man complained of a painful bite on the top of the left middle finger. He lives in central Florida and was working in the garden on the previous day. Fire ant stings show this typical morphology.

DermAtlas: LEG - bite, insect
© 2001-2009, DermAtlas
Image Name: bullos_reaction_1_060721   File Type: jpg
Diagnosis: BITE, INSECT   Category: vesiculobullous eruptions
Body Site: leg   Age: 29 years
Contributor: Franz Ritucci, MD    
Description: 1.5 cm bullae on a red to hemorrhagic base
Comments: This 29-year-old woman developed itchy bullae on her leg following insect bites.

DermAtlas: BACK - sting, bee (hymenoptera)
© 2001-2009, DermAtlas
Image Name: insect_bite_reaction_4_050806   File Type: jpg
Diagnosis: STING, BEE (HYMENOPTERA) /
BITE, INSECT
  Category: reactive erythema
Body Site: back / shoulder   Age: 13 years
Contributor: Bernard Cohen, MD    
Description: large red edematous plaque
Comments: This healthy adolescent complained of itching and pain following a bee sting on her back.

DermAtlas: ANKLE - bite, insect
© 2001-2009, DermAtlas
Image Name: insect_bite_reaction_3_050806   File Type: jpg
Diagnosis: BITE, INSECT   Category: reactive erythema
Body Site: ankle / foot   Age: 19 years
Contributor: Bernard Cohen, MD    
Description: multiple red edematous papules
Comments: This healthy adolescent experienced multiple insect bites on her feet.

DermAtlas: LEG - bite, insect
© 2001-2009, DermAtlas
Image Name: bee_sting_1_050806   File Type: jpg
Diagnosis: BITE, INSECT /
STING, BEE (HYMENOPTERA)
  Category: bites and stings /
reactive erythema
Body Site: leg   Age: 18 years
Contributor: Bernard Cohen, MD    
Description: well demarcated red edematous plaque
Comments: This young woman complained of itching and pain with an expanding localized bee sting reaction. She developed progressive swelling which resolved over 3 days with elevation, cool compresses, and ibuprofen 400 mg three times a day.
Related Images: bee_sting_2_050806 

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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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